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Kelly Alysa Bennett, LMT,BCTMB
Massage Therapist in Tigard, Oregon
NPI 1437854213

Kelly Alysa Bennett is a Massage Therapist based in Tigard, OR. Kelly Alysa Bennett practices in Tigard, OR and has the professional credentials of LMT,BCTMB. The NPI Number for Kelly Alysa Bennett is 1437854213 and holds a License No. 26594 (Oregon).

The current practice location address for Kelly Alysa Bennett is 12725 Sw 66Th Ave Ste 205, Tigard, OR and can be reached out via phone at 971-245-5699.

Location: 12725 Sw 66Th Ave Ste 205, Tigard, OR, 97224-7371
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437854213
Provider Name
Kelly Alysa Bennett
Credential
LMT,BCTMB
Provider Entity Type
Individual
Gender
Female
Address
12725 Sw 66Th Ave Ste 205, Tigard, OR, 97224-7371
Phone Number
971-245-5699
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12725 Sw 66Th Ave Ste 205
City
Tigard
State
Oregon
Zip
97223-2548
Phone Number
971-245-5699
Fax Number
person
Provider Business Mailing Address Details
Address
12725 Sw 66Th Ave Ste 205
City
Tigard
State
Oregon
Zip
97223-2548
Phone Number
971-245-5699
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
26594 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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